Case Series
Volume 10 Issue 9 - 2021
Specific Features in Treatment of Children with Fractures of the Distal Metaphyseal Cartilage of Lower-Leg Bones: Clinical Cases
AI Dorokhin1*, AA Adrianova1, VI Khudik2, DS Sorokin2 and AK Goryunov2
1Federal State Budgetary Institution “National Medical Research Center of Traumatology and Orthopedics Named After N.N. Priorov”, Moscow, Russia
2State Budgetary Institution of Healthcare “Children’s Municipal Clinical Hospital Named After Z. A. Bashlyaeva”, Moscow, Russia
*Corresponding Author: AI Dorokhin, Federal State Budgetary Institution “National Medical Research Center of Traumatology and Orthopedics Named After N.N. Priorov”, Moscow, Russia.
Received: June 12, 2021; Published: August 28, 2021




Abstract

This case study discusses the treatment of distal metaphyseal fractures of lower-leg bones in children. The choice of this problem based on wide expansion of fractures and poor treatment results. Age of children ranges from 10 to 16 years. Examination was done with X-rays, computed tomography (CT), and ultrasound, especially in cases where damaged ligamentous apparatus was suspicious. The main method of treatment was surgical-osteosynthesis by wires, plates, and screws. In the rehabilitation period, the legs were immobilized in plaster cast up to the knee joint for 4 - 6 weeks. The first case demonstrated the probability of damage of the distal tibiofibularis ligaments and necessity of their reconstruction. In the management of the second case, the efficacy of CT scans in validation of the fracture is presented. The treatment of the teenager presented in the third case was based on biomechanical principles. In majority of cases, outcomes in the period of 6 - 8 weeks after trauma were good and satisfactory. In our opinion, diagnosis and treatment of distal methapyphiseal cartilage fractures of the shin in children must be different that was proved in the examination of bones and ligaments injuries. Creation of the special structure classification for understanding and effective treatment of these kinds of metaphyseal fractures in children is believed to be necessary.

 Keywords: Trauma; Children; Distal Tibial Metaphysis; Distal Tibiofibular Syndesmosis; Structure Classification

References

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Citation: AI Dorokhin., et al. “Specific Features in Treatment of Children with Fractures of the Distal Metaphyseal Cartilage of Lower-Leg Bones: Clinical Cases”. EC Paediatrics 10.9 (2021): 127-136.

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